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HPI41 y/o female c/o RUQ pain x 4 days. Pt states pain has been intermittent, but since last night has been constant and was the worse pain since 6am today. Pt denies any N/V/D, fever, or chills. No hx. of gallstones, ETOH use. Pt’s pain unrelated to eating. No urinary complaints.

ROSEyes: No visual changes, eye pain, or dischargeCardiac: No chest pain, SOB, or edema. No chest pain with exertion.Respiratory: No cough or respiratory distress, No hempotysisGI: + Abd pain, No N/V/DGU: No dysuria, frequency, burningMS: No myalgia, muscle weakness, joint pain, or back pain.Neuro: No headaches or weakness, No LOCSkin: No skin rash